He Na
Department of Epidemiology, School of Public Health, and The Key Laboratory of Public Health Safety of Ministry of Education; Shanghai Institute of Infectious Diseases and Biosecurity; and Yiwu Research Institute of Fudan University, Fudan University, Shanghai, China.
China CDC Wkly. 2021 Nov 26;3(48):1022-1030. doi: 10.46234/ccdcw2021.249.
After thirty-two years since the first domestic outbreak of human immunodeficiency virus (HIV)/ acquired immune deficiency syndrome (AIDS) among injection drug users (IDUs) and almost two decades of comprehensive response efforts by the Chinese government, HIV/AIDS remains a major public health problem. The increasing burden of HIV/AIDS and comorbidities, the emergence of new HIV subtypes and/or circulating recombinant forms and drug mutations, the changing transmission networks, and the urgency of immediate antiretroviral therapy initiation upon an HIV diagnosis are increasingly challenging and altogether likely to have significant impact on the HIV epidemic in China. Upon the call for the global AIDS response to end AIDS by 2030, China needs to develop an innovative and pragmatic roadmap to address these challenges. This review is intended to provide a succinct overview of what China has done in efforts to achieve the global goal of ending AIDS by 2030 and the recently proposed "95-95-95-95" target (95% combination prevention, 95% detection, 95% treatment, 95% viral suppression), and to summarize the most recent progresses in the epidemiological research of HIV/AIDS in China with the aim of providing insights on the next generation of HIV control and prevention approaches and to shed light on upgrading the national strategy to end AIDS in this country.
自国内首次在注射吸毒者中爆发人类免疫缺陷病毒(HIV)/获得性免疫缺陷综合征(AIDS)以来的32年里,以及在中国政府开展近20年的综合应对努力之后,HIV/AIDS仍然是一个主要的公共卫生问题。HIV/AIDS及其合并症负担的不断增加、新的HIV亚型和/或循环重组形式以及药物突变的出现、传播网络的变化,以及HIV诊断后立即启动抗逆转录病毒治疗的紧迫性,都带来了越来越大的挑战,并且很可能对中国的HIV疫情产生重大影响。在全球呼吁到2030年终结艾滋病流行的背景下,中国需要制定一条创新且务实的路线图来应对这些挑战。本综述旨在简要概述中国为实现到2030年终结艾滋病的全球目标以及最近提出的“95-95-95-95”目标(95%联合预防、95%检测、95%治疗、95%病毒抑制)所做的工作,并总结中国HIV/AIDS流行病学研究的最新进展,以期为下一代HIV控制和预防方法提供见解,并为升级该国终结艾滋病的国家战略提供思路。